Individual provider · Type 1 NPI

Ian Gibson

Student in an Organized Health Care Education/Training Program · Corvallis, OR

NPI number 1417797457 Active

Practice location

203 Pharmacy Bldg
Corvallis, OR 97331-8537

Call (541) 737-3424 Map

Mailing address

917 SW 15th St Apt 105
Corvallis, OR 97333-4814

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XPI-0014276 (OR)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1417797457

Ian Gibson's National Provider Identifier is 1417797457, issued on May 28, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Corvallis, OR. The record was last updated on May 28, 2024.